Torn Card

Effects

• Every 15 shots, Isaac will shoot an (Ipecac) Ipecac + (My Reflection) My Reflection tear with a very high range value.
• The tear will follow Isaac until it hits an enemy or lands, where it will explode.

Synergies

• (Almond Milk) Almond Milk/(Soy Milk) Soy Milk: Unlike the normal (Ipecac) Ipecac synergy, Torn Card shots ignore the damage down multiplier, always dealing +40 damage, significantly increasing DPS.

• Brain Worm: Brain Worm forces some tears to snap 90 degrees to target enemies that they may have missed.

• (Chocolate Milk) Chocolate Milk: Ipecac shots will always deal the same damage, regardless of charge level. Low power shots can be spammed to make use of this.

• (Death's Touch) Death's Touch/(Pupula Duplex) Pupula Duplex: Ipecac shots get a bigger hitbox, making shots easier to hit, and from a safer distance.

• (Eye of the Occult) Eye of the Occult: Tear control is stronger than the reflection, although it's still present if Isaac stops shooting. Effectively negates downside.

• (Fire Mind) Fire Mind: A fire is always spawned at the place of explosion.

• Homing: The homing is stronger than the reflection, effectively negating Torn Card's downside.

• Hook Worm: Hook Worm allows tears to hit enemies more easily, while also making them easier to avoid.

• (Lead Pencil) Lead Pencil: Lowers tear shot requirement by 1. Lead Pencil will always proc at the 14th shot, soon followed by Torn Card's at 15th.

• (Monstro's Lung) Monstro's Lung: An Ipecac shot is fired for 4 bursts consecutively, with the 5th burst lacking one, and repeat. Makes Torn Card very consistent.

• (Proptosis) Proptosis: Ipecac tear will always explode before reflection takes effect. It's the only item that affects Torn Card's flat 40 damage.

• (Spirit Sword) Spirit Sword: Swings can be spammed rapidly to create Ipecac shots.

• (Tiny Planet) Tiny Planet: Ipecac shots will stick to the orbit and direction Isaac is aiming.

• Whip Worm: Whip Worm forces tears to fly very fast, usually preventing enemies from dodging them.

Interactions

• (20/20) 20/20/(Eye Sore) Eye Sore/(The Inner Eye) The Inner Eye/(Immaculate Heart) Immaculate Heart/(Loki's Horns) Loki's Horns/(Mom's Eye) Mom's Eye/(Mutant Spider) Mutant Spider/(The Wiz) The Wiz: Extra tears fired do not count towards Torn Card proccing.

• (Anti-Gravity) Anti-Gravity: Ipecac shots will follow Isaac closely until he stops firing.

• (Epic Fetus) Epic Fetus: Despite replacing tears, Torn Card will still calculate shots required based on Isaac's fire rate. These shots will be fired regardless if the missile crosshair is moving or not.

• (Evil Eye) Evil Eye: Tears shot by evil eyes cannot fire Ipecac shots, nor count towards proccing.

• (Fate's Reward) Fate's Reward: Cannot proc Torn Card.

• Found Soul: Has its own shot counter, independent of Isaac's. Shots not affected by its damage multiplier, always dealing +40 damage. Shots fired from the Soul will reflect back on itself, rather than Isaac.

• (Incubus) Incubus: Has its own shot counter, independent of Isaac's. Shots not affected by its damage multiplier, always dealing +40 damage.

• (Lachryphagy) Lachryphagy: Ipecac shots become Lachryphagy shots, allowing them to grow. Reflection is weaker due to lower momentum. The burst tears spawned from the tear will all explode.

• Lil Clot: Has its own shot counter, independent of Isaac's. Shots not affected by its damage multiplier, always dealing +40 damage.

• (Marked) Marked: Ipecac shots will be fired from cardinal directions rather than aiming at the crosshair.

• Second Hand: No effect on poison.

• (Twisted Pair) Twisted Pair: Have their own shot counter, independent of Isaac's. Shots not affected by their damage multiplier, always dealing +40 damage. Both of the familiars fire an Ipecac shot at the same time.